Individual
ALICE GRUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8220 LONGLEAF DR, ELK GROVE, CA 95758-1322
(916) 512-0195
Mailing address
6770 STANFORD RANCH RD # 1080, ROSEVILLE, CA 95678-1907
(951) 764-4323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
96938
CA
Other
Enumeration date
06/27/2016
Last updated
04/05/2024
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